A client is admitted to the neurological intensive care unit after having just sustained a C5 spinal cord injury (SCI). Which assessment finding for this client warrants immediate intervention by the nurse?

Respirations are shallow, labored, and 14 breaths/minute.

Has flaccid upper and lower extremities.

Blood pressure is 110/70 mm Hg and the apical heart rate is 68 beats/minute.

Is unable to feel sensation in the arms and hands.